Case oneThe examiner asked me to ask the patient ( a woman in her 60s) some
questions. There was no obvious external signs. The answers suggested that
the patient was recently admitted for a painful red eye and had had laser
treatment.
Slit-lamp examination revealed bilateral peripheral iridotomies. The
right eye had iris atrophy and glaucoflecken. Questions on the predisposing
factors for angle closure glaucoma and its treatment.

Case twoIndirect ophthalmoscopy with 78D on the slit-lamp. The patient had
a left branch retinal vein occlusion and sectorial pan-photocoagulation.
Questions on the management of branch retinal vein occlusion based on the
Branch Retinal Vein Study Trial.

Case threeOcular motility examination. I began with cover/uncover test and noticed
a right hypertropia. I commented on this and proceeded to perform the three
step tests. The patient had a left fourth nerve palsy. I was asked about
the muscle sequelae of fourth nerve palsy based on the Hering's and Sherrington's
law. The other examiner wanted to know how I would test for cyclotorsion
ie. the use of Maddox rods.

Case fourSlit-lamp examination of the anterior segment. The patient had a right
corneal graft and abnormal iris stroma showing iridocorneal fibrous attachment.
I made a diagnosis of Reiger's anomaly.
The examiner wanted to know the management of congenital glaucoma and
the causes of childhood glaucoma.

Case fiveSlit-lamp examination of the anterior segment. The patient had heterochromia
and slit-lamp examination revealed left heterochromic cyclitis.
Questions on the management of this condition and the complications
which may occur during cataract operation (poor dilatation and Amsler's
sign).

Clinical medicine / Neurology

Case oneOcular motility examination. The patient had obvious bilateral thyroid
eye diseases. There were some restriction on upgaze otherwise the movement
was full.
I was then asked if I noticed any other physical signs. I mentioned
arachnodactyly and proceeded to demonstrate that the patient had co-existent
Marfan's syndrome (arm span longer than height and high arch palate). I
was asked to list the possible ocular complications of Marfan's syndrome.

Case twoDirect ophthalmoscopy of the fundus. The patient had a right optic
atrophy. I was asked to give a differential diagnosis and the type of investigations
that I would perform. The patient turned out to have a right optic glioma
but there was no evidence of proptosis.

Case threePupillary examination on a middle-aged women.
She had anisocoria but without ptosis. Neither eye responded to light
but on accommodation, the larger eye constricted. The response of the small
pupil is difficult to see. I mentioned that she may have bilateral Adie's
pupil with the smaller pupil being the long-standing one. I asked to see
the iris on the slit-lamp. There were vermiform movements in both eyes.
I asked to examine the knee reflexes but the examiners appear satisfy
with the diagnosis and did not want me to proceed.

Case fourI was asked to observe the patient's eye and perform any examination
as appropriate.
I noted the presence of a down-beat nystagmus and went on to examine
the nape of the patient. There was no surgical scar there. I mentioned
the possibility of Arnold-Chiari's syndrome as a cause and that I like
to examine the upper limbs for any evidence of syringomyelia. The examiners
appeared happy with the response but did not want me perform neurological
examination of the upper limb.

Case fivePupillary examination of a middle-aged man.
The patient had a mild right ptosis and small pupil. There was no heterochromia.
I diagnosed right Horner's syndrome and proceeded to examine the neck,
right hand muscles and the pulmonary apex but there were no signs to indicate
the cause of the Horner's syndrome.
The examiner asked me the pharmacological testing for pre and post-ganglionic
Horner's syndrome.